PERSONAL-SOCIAL Procedure • Smiles responsively Score Passed Analysis Interpretation
The tester smiled During the whole and talked to the test, the child often child and didn't smiles at the tester touch him. even though the tester is not talking Pass if the child or looking at him. smiles back. Social smile is present. The sense of sight is developing. During the test, the tester sees if the child smiles to her or to the parent without any stimulation. Pass if child smiles on his own at any time during the test without any stimulation. The child smiles back when the tester is talking to him. He even produces sounds like cooing sound. This is the child's way of socialization. The child has an increased social awareness.
The tester placed the child on his back. The tester went within 12 inches face to face with the child.
The first time the tester came face to face with the child, the child curiously look at her. Child’s vision is good. The child is studying a Pass if the child face with a fixed actually looks at the stare. tester.
INTERPRETATION The client was able to pass the three activities: smiles spontaneously, smile responsively and regards face. For personal-social sector, the client has no developmental delay. FINE-MOTOR ADAPTIVE 5
Procedure •Grasp Rattle
Analysis While the child is sitting on his mother’s lap, the tester put the rattle at the back of child's hands.
The child instantly grasps the rattle. Ability to hold small object is visible. The child’s thumb opposition is beginning, but the Pass if the child motion is scooping grasps the rattle for and not picking. The a few seconds. child shows eagerness.
• . Regards cheese curls
As the child is sitting on her mother’s lap, the tester dropped cheese curls in front of the child.
The child looked at the cheese curls and tried to get it. It indicates that there is a slight coordination of eyes and hands. The child’s Pass if the child eye-hand coorlooks at the cheese dination is devecurl. loped. As the child is sitting on the chair, while his mother is holding him, the tester put toys (2 blocks of wood) in front of him. He reached for the wooden blocks and eventually held 1 block. Vision is clear, especially if there is stimulation. The child can accept objects that are Pass if the child handed to him and reaches toward the grasp with whole toy. hand. Visuomotor coordination.
The child was lying The child followed in supine position. the yarn as 6
The tester put the red yarn in about 68 inches in front of the child and wiggled it to get his attention. Then it was transferred from his left going to his right side in a slow motion. Pass if the child follows the wool within his head and eyes through the complete arc form one side to the other. Passed • Hands together The tester watched the child to see if he touches his hands together in the middle. Pass if the child touches his fingers together in the midline. Passed • Follows past midline While the child is lying in a supine position, the tester held the red yarn for about 6-8 inches in front of him and moved it slowly from one side in an arc over the middle of the child to the other side.
evidenced by the movement of his eyes as well as his neck on the same manner of movement of the yarn. The tester performed it twice. Presence of eye movement was observed. The child has a strong sense of sight. He was able to follow moving objects.
The child often touches his hand together during the test. This means that the child is developing selfdiscovery.
The child followed the red yarn from his left side to the middle then paused and from the middle to his right side. The child’s eyes followed the yarn. The tester performed it twice. Eye movement was observed. The Pass if the child child’s binocular
follows the yarn vision was achieved. past the middle point of the arc either eyes alone or his head and eyes together. Passed • Follow to midline While the child is lying in a supine position, the tester places the yarn at about 6-8 inches in front of the child. Then place it from his left side going to the middle. Pass if the child follows the yarn to the middle point of the arc either his eyes alone or his head and eyes altogether. INTERPRETATION The examiner performed seven activities under the fine-motor adaptive sector. These are: grasp rattle, regards cheese curls, reaches object, follows 180°, follows past midline and hands together. The child passed all these seven activities. For this sector, the client has no developmental delay. LANGUAGE Procedure • Turns to voice Score Failed Analysis As the child was sitting on her mother’s lap, the tester went to his right side and called him by his name. Interpretation He did not look upon calling him. Then the tester tried it on his left side. Still, he did not react. The tester asked for the help of Pass if the child his older brother to turns to the direction call him from of the voice. behind, he still did 8 The child’s eyes followed the yarn. His neck also moved from left to the middle of his body. The tester performed this twice. The child’s binocular vision was achieved.
not look back. Same result was observed even when his mother who was carrying him called him. The child was not yet able to recognize his own name. • Squeals Passed The tester asked the mother if the child already laughs, or produces a squealing sound if he’s overjoyed. The mother verbalized that her child was able to produce different sounds. The child squeals because of pleasure. He is even Pass if the child more fun to be with. makes squealing He also has an sounds. increased socialization. The tester asked the mother if the child laughs loud even without being tickled or any stimulation. The mother verbalized that her child laughs loud. The child’s eyes are developing gradually, discovering or seeing new Pass if the child things make him laughs aloud happy. without being tickled. The tester observed if the child is able to vocalize by producing different sounds As the tester proceeded with the test, it was observed that the child can produce sound like “ahh”. It shows that Pass if the child the child is makes sounds other expressing his than crying. moods or feelings
• Vocalizes not crying
through other cues besides crying. • Responds to bell Passed The tester rang the bell quietly at the left side of the child where the child could not see it. Then the tester rang again the bell, this time, louder. The tester rang the bell first at the left side of the child, the child momentarily stopped wiggling. Then the tester rang again the bell, this time more sound was produced, the Pass if the child child moved his shows in any way head to the direction that he has heard the of the sound bell. produced by the bell. The child has a distinctive hearing awareness. He turns his head toward the direction of the sounds.
INTERPRETATION The item turns to voice is given a score of “failed” while the activities, laugh, vocalizes not crying and responds to bell are all given a score of “passed”. And the activity, squeals, is passed by report of the mother. Four out of the five activities are passed. For this sector, the client is normal; he does not have developmental delay.
GROSS MOTOR Procedure • Bear some weight on legs Score Passed Analysis Interpretation
The tester held the The child stood child upright on the straight for a few mattress. seconds holding his weight on his legs, Pass if the child as the tester loosen briefly supports her support to the most of his weight child. The child’s on his legs. stepping reflex has faded.
Pull to sit
The tester put the child in a supine position and slowly pulled him up through his hands.
The child’s head hang as he pulled to a sitting position. It means that head lag is still prominent. Muscles of neck are Pass if the child’s not strong enough to head does not hang give support to his at any time while he head while in is being pulled up. motion. The child is placed on the mattress in a prone position. The tester observed if the child can lift his head and chest up using arms for support. Pass if the child lifts his head and chestup, using support of outstretched hands or forearms so that this face is looking straight ahead. The child lifted up his head and chest but did not extend his forearm for support. This means that the child cannot rest his torso's weight on his hands because of large abdominal and chest circumference with his extended arms. Also, he can't look straight ahead. Due to this, he has lesser visual field. When the child was on supine position and the rattle was wiggled at the child, he just looked at it. When the examiner asked the mother if the child can rolls from back to stomach, the mother said "yes". As he lifted his head, it causes him to loose his balance and rolls sideways. There is risk for fall.
• Prone chest up arm support
The child was put on a supine position, the tester held a rattle and wiggled it and the tester asked the mother if the child can rolls from back to stomach. Pass if the child rolled completely over, not just to or from side, either way (not accidentally) two times or more.
• Sit head steady
The child is placed at his mother’s lap, in a sitting position. The tester counted for a full minute while looking at the child’s head if there is no swaying. Pass if child holds head upright and steady with no bobbing motion.
The tester observed that the child’s head did not sway. The child’s muscle control is already established. It allows the child for a more visual interaction.
• From head up to 90º
The child was lying in his stomach on a mattress and was observed if he can lift his head to make a 90º angle.
The child was not able to lift his head and chest to produce a 90º angle. The child’s head is still held facing downward. Because of Pass if the child lifts this, he has lesser his head and chest visual field. up so that his face makes a 90 degree angle with the table. The child was put in a lying position on his stomach and was observed if he can lift his head to make a 45º angle with the table. Pass if the child lifts his head so that his face makes an approximate 45º angle with the table. The child was able to lift his head and raise his chin from the mattress. His neck muscles can support his head movement up to 45 degrees angle.
Passed • Prone head up 45 º
The examiner performed seven activities in the gross motor sector. Bears some weight on legs, rolls over, sit head steady and prone head up 45 degrees are all scored “passed”. While the three activities: pull to sit and prone chest up arm support and prone head up 90 degrees are all given a scored failed. Four are scored passed out of the seven items that were administered.
OVER-ALL INTERPRETATION OF MMDST J.M.A performed many items in the MMDST. He quite did a great job in doing his best just to perform any of the items. Based on the result on the different sectors, the child has normal development according to his age. He has no developmental delay in any of the four sectors.
Observational child study J.M.A. is happy and cooperative child. He is smiling all throughout the administration of the test. He seemed to enjoy all the tasks that were administered especially response to bell and grasp of rattle.